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I am 71. Doctor gave me Cialis 20. The pill took effect quickly and I was primed and ready for action. This medicine works. Now, let me outline the "upside". It works fast. It works well. It continues to work in excess of 72 hours. I woke up each morning thinking I was still 17. But, the "downside". A severe almost numbing pain set in the legs, thighs, butt, lower back. The pain came on 18 hours after taking the dose, and persisted for four days. I would reduce dosage to 10 or 5 until the right balance was achieved. Love this, hate the side effects. Will find the balance, then look out ladies, here I come.